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Total and high-molecular-weight adiponectin levels and prediction of insulin resistance
Affiliations- Department of Public Health, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic
- Clinic of Internal Medicine, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava-Poruba, Czech Republic
- ReFit Clinic s.r.o., U Reálky 4, 779 00 Olomouc, Czech Republic
open access
Abstract
Introduction: Adiponectin is a peptide secreted by adipocytes; its reduction is associated with obesity-related disorders, including insulin resistance (IR). The study analysed levels of total adiponectin and its high-molecular-weight (HMW) oligomer in a group of metabolically healthy adults and in patients with type 2 diabetes mellitus (T2DM) to evaluate these levels as potential predictors of the presence of IR.
Materials and methods: The study comprised 269 metabolically healthy adults and 300 patients with T2DM. Anthropometric and biochemical indices were measured, including total and HMW adiponectin levels; the Homeostatic Model Assessment of IR (HOMA-IR) index was calculated, and logistic regression analysis was used to predict the presence of IR.
Results: In healthy individuals, both total and HMW adiponectin levels were significantly higher than in diabetic patients. Total and HMW adiponectin levels were moderately correlated with the HOMA-IR index. Logistic regression analysis showed that increased levels of both total adiponectin (odds ratio [OR] 0.598, 95% confidence interval [CI] 0.483–0.723) and the HMW form (OR 0.360, 95% CI 0.242–0.511) are protective factors for the development of IR. The cut-off levels were 4.22 mg/L for total adiponectin and 2.75 mg/L for HMW adiponectin. The results are valid for middle-aged European adults.
Conclusions: Adiponectin levels below the indicated cut-offs may predict a potential risk for the development of IR.
Abstract
Introduction: Adiponectin is a peptide secreted by adipocytes; its reduction is associated with obesity-related disorders, including insulin resistance (IR). The study analysed levels of total adiponectin and its high-molecular-weight (HMW) oligomer in a group of metabolically healthy adults and in patients with type 2 diabetes mellitus (T2DM) to evaluate these levels as potential predictors of the presence of IR.
Materials and methods: The study comprised 269 metabolically healthy adults and 300 patients with T2DM. Anthropometric and biochemical indices were measured, including total and HMW adiponectin levels; the Homeostatic Model Assessment of IR (HOMA-IR) index was calculated, and logistic regression analysis was used to predict the presence of IR.
Results: In healthy individuals, both total and HMW adiponectin levels were significantly higher than in diabetic patients. Total and HMW adiponectin levels were moderately correlated with the HOMA-IR index. Logistic regression analysis showed that increased levels of both total adiponectin (odds ratio [OR] 0.598, 95% confidence interval [CI] 0.483–0.723) and the HMW form (OR 0.360, 95% CI 0.242–0.511) are protective factors for the development of IR. The cut-off levels were 4.22 mg/L for total adiponectin and 2.75 mg/L for HMW adiponectin. The results are valid for middle-aged European adults.
Conclusions: Adiponectin levels below the indicated cut-offs may predict a potential risk for the development of IR.
Keywords
total adiponectin, high molecular weight adiponectin, insulin resistance, odds ratio, predictions, cut-off points
About this articleTitle
Total and high-molecular-weight adiponectin levels and prediction of insulin resistance
Journal
Issue
Article type
Original paper
Pages
375-380
Published online
2018-06-04
Page views
984
Article views/downloads
905
DOI
10.5603/EP.a2018.0035
Pubmed
Bibliographic record
Endokrynol Pol 2018;69(4):375-380.
Keywords
total adiponectin
high molecular weight adiponectin
insulin resistance
odds ratio
predictions
cut-off points
Authors
Dagmar Horakova
Ladislav Stepanek
Radka Nagelova
Dalibor Pastucha
Katerina Azeem
Helena Kollarova
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